Changing attitudes to the management of ischaemic stroke between 1997 and 2004: a survey of New Zealand physicians

Internal Medicine Journal
J SomerfieldP Bennett

Abstract

In 1997, a survey of New Zealand physicians' opinions on the management of stroke was carried out. Since then, there have been a number of advances in stroke therapy. We have repeated the 1997 survey to assess changes in physicians' opinions on stroke management. A questionnaire was sent to 293 physicians responsible for patients admitted with acute stroke to hospitals throughout New Zealand. It included questions on the management of acute stroke and secondary prevention and was based on the 1997 questionnaire. Responses were received from 211 physicians of whom 174 (82%) managed patients with an acute stroke. The number of respondents who thought that stroke units were efficacious has increased (57% in 1997 to 89%, P < 0.001). The use of aspirin acutely (P < 0.001) and intravenous tissue plasminogen activator (P = 0.006) has also increased. In 2004, antihypertensive therapy for secondary stroke prevention would be commenced if the blood pressure was 150/90 by 98% of respondents and 140/90 by 70% of respondents. In 2004, a statin would be commenced if the total cholesterol level was 4.0 mmol/L by 56% of respondents and 5.0 mmol/L by 91% of respondents. This survey has shown important changes in the management of ischaemic stro...Continue Reading

References

Sep 1, 1991·The Australian and New Zealand Journal of Psychiatry·G A Johnson
Dec 14, 1995·The New England Journal of Medicine·UNKNOWN National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group
Mar 21, 1998·Journal of Human Hypertension·R Pathansali, P M Bath
Jun 27, 2000·Australian and New Zealand Journal of Medicine·S L Ardern-HolmesP Bennett
May 12, 2004·Lancet·A HallidayUNKNOWN MRC Asymptomatic Carotid Surgery Trial (ACST) Collaborative Group
Oct 8, 2004·The New England Journal of Medicine·Jay S YadavUNKNOWN Stenting and Angioplasty with Protection in Patients at High Risk for Endarterectomy Investigators
Mar 1, 2005·Lancet·Geoffrey A Donnan, Helen M Dewey

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Citations

Aug 8, 2009·International Journal of Stroke : Official Journal of the International Stroke Society·K R EvensonW D Rosamond
Dec 25, 2007·American Journal of Surgery·Michiel G van der VaartClark J Zeebregts

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